Read AMD Pittsburgh 7 May PP Presentation V2.ppt text version

Acupuncture Therapy for Age-Related Macular Degeneration

"The Santa Fe Eye Protocol"

Acupuncture in Ophthalmology Symposium UPMC Eye Center, Pittsburgh PA 7 May 2010

Alston C. Lundgren, MD, FAAFP, FAAMA Santa Fe NM USA Full Text: www.ReverseAMD.com e.mail: [email protected]

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Significance

·Millions of persons afflicted with AMD can now have help. ·This can help legitimize Medical Acupuncture because the condition is quantifiable ­ and conventional medicine cannot help.

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Presenta(onoutline

·AMD background ·Current conventional treatment ·Description of the Santa Fe Eye Protocol ·Results of the Santa Fe Eye Protocol ·Statistical significance ·Historic and Suggested Treatment

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Prevalence : up to 9 million cases in US Cause: Unknown Risk factors: · Northern and Western European ancestry · Ultraviolet exposure · Smoking · Family history · Most significantly, growing older

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Twovarie(es

·Dry AMD represents 90 % of cases ­ usual course is a slow decline in vision. ·Treatment is limited to hypertension control, avoiding UV exposure, quitting smoking, and AREDS vitamins and lutein. ·Wet or Neovascular is 10% of cases - but the more likely to lead to sudden and severe vision loss.

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Ophthalmologists are now able to stop bleeding by various techniques. ·Thermal laser started 20 years ago ­ with 3 line vision loss an immediate consequence. ·Photodynamic Therapy ­ IV Verteporfin with cold laser ­ could treat 40 % of wet AMD cases without the laser 3 line loss.

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·Anti Vascular Epithelial Growth Factor: intraocular injections of: Macugen, Lucentis, and off label Avastin. ·Literature and advertising reports 20+% of these patients regain lost vision ­ BUT most likely the vision gain is the body reabsorbing blood after leak stops ­NOT the action of the drug itself.

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Today's Report on My Work

Between 2001 and April 2010, 736 unique individuals were treated with variations of the same protocol involving several different acupuncture modalities. Overall, 85% of patients had an overall improvement in visual acuity.

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Basic Definitions

AMD = Age-Related Macular Degeneration OS = left eye OD = right eye

ETDRS charts (Early Treatment of Diabetic Retinopathy Study) · 5 letters each line · Logarithmic -3 lines = doubling vision · Validated by National Eye Institute

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Reporting Convention

Most of my patients were not local and came for a week for daily treatments and were tested on Monday, Wednesday and Friday before treatment. Thus reports were standardized to reflect 4 treatments

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Overall Population

Total

# individuals 736 Male/Female 385/351 OverallPopula(onCharacteris(cs Average age Age range Initial Acuity ETDRS Near Initial Acuity ETDRS Far 77.4 years 44-102 years 20.75 24.06 (Snellen 20/96) (Snellen 20/84)

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OverallResults

Letters

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Methods

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Inclusion Criteria

·Must have ophthalmologist diagnosed AMD ·Must have ophthalmologist exam saying no bleed: · Within 3 months if Wet AMD · Within 12 months if Dry AMD · If any significant vision loss ·Must not be demented ·No seizure history

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ETDRS Visual Acuity Chart

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ETDRSNearChart

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PelliRobsonContrastSensi(vity PelliRobsonContrastSensi(vity

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SantaFeEyeProtocolComponents

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Indirects(mula(onofspecificpartsof brainthroughearacupuncture

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S(mula(onOvertheBrainVisual Cortex

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DirectElectricalS(mula(onof Periorbitalarea

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DryAMDGainsaKer4Tx

n=367 n=398 n=370

Letters

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Wet AMD Gains after 4 TX

Letters

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Overall Gain vs Intake Acuity

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Sum of letters OS and OD, both Near and Far

Vision Gains By Tx Date

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HardtoQuan(fyGains

·Distor(onslessen. ·Scotomasdiminishordisappear. ·Lesslightneededtosee. ·Sensa(onofafilmovereyesdecreases. ·Colorsbecomemorevibrant.

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Function vs Physical Changes

Most patients and I focus on function. For many retinologists, the more important issue is changes in retinal photographs , angiograms or OCT measurements . A few patients have reported significant gains in those tests, but I have not been performed them. Those studies should be performed by an independent, academic center in a systematic way.

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DURABILITY

·AnIRBstudyisunderwaytodetermine durabilityandalsolategains.Releaseof recordsformshavebeensigned­butitisa massiveeffortyettobedone. ·Anecdotally,pa(entshaveretainedvision gainsupwardsof5years. ·Whentherearelosses,abigpor(onofthe (metheyareassociatedwithaCVA.Rarely isitahemorrhage­butthatisthebig concern.

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LateGains

A significant portion of patients report late gains ­ scotomas clearing, more colors, clearer vision, etc. Since most patients are not local, the next stage of research is obtaining vision records from treating eye doctors.

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Risks

To date only black eyes ­ which always spontaneously resolve. There is a concern that there might be an increase in the number of bleeds in persons with wet AMD. Only 2 cases have occurred near the time of treatment. Periorbital infections are rare ­ but must be treated aggressively with antibiotics.

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Sta(s(calSignificance

CentralLimitTheorem:Standard devia(onofagroupofNindependent distribu(onsequalsthestandard devia(onofanindividualdividedby thesquarerootofN.

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Typical test-to-test variation for visual acuity is 1 ½ lines with 95% confidence. That is, one standard deviation = 0.75 lines. For a 100 member group of those individuals, the standard deviation is 0.1 x 0.75 or 0.075. For groups the size in this presentation, the p value < 0.001 that the improvement is from random variation.

The results are real!!

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Conclusion

The acupuncture protocol reported here increased visual acuity for both dry and wet varieties of AMD much more than can be explained by random chance or test variation.

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Research Questions

·What electric frequency to use? ·Duration of each treatment? ·Interval between treatments? ·Are there observable changes in retinal photographs/angiograms? ·Optimal needle placement?

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Santa Fe Eye Protocol

Historic and Suggested Needle Placement

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Methods

· Atintake: · MeasurevisualacuityusingETDRSeyecharts forbothnearanddistantvision · PelliRobsonContrastSensi(viymeasurement · ColorscreenusingHRRisochromiccolorchart · VF14subjec(vemeasures

German Ear: Bilaterally gold ASP at Eye, CN 2, Pineal, Diazepam Analog and Interferon and steel mastoid Scalp: XMHN#1, 15 mm x 0.20 mm Vertical needle at lambdoid suture (-) To temple (+) LR 3 (-) to LR 8 (+), LR 14 (-) to nasal supraorbital ridge (0.20 x 30 mm needles) 0.20 mm x 15 mm Nasal infraorbital ridge (-) to 0.20 x 30 mm temporal supraorbital ridge (+) Temporal infraorbital ridge (-) to Yamamoto CN line (+)

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Currenttreatmentarray,Rhanddominant

R:ACTH,PGE1,retroceliac,Pt0,LU7,eye,CNII L:Pineal,corpuscallosum,diazpamanalogue,interferon, cor(sol,eye,CNII

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German Ear

Simplified protocol: Both ears the same: non dominant ear gold at named Pineal, Diazepam Analog, Interferon, CN 2 and Eye point with steel on mastoid earlobe opposite CN 2. This represents "cookbook recipe" as opposed to practitioners needing to know German Auricular.

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GeneralPurpose­removesmost blockages Bothearsthesame.Pineal,diazepam analogue,interferoninStri[ma[eratlas

Be sure to add gold ASP studs Bilaterally at eye and CN 2 points And a steel ASP on mastoid Earlobe to form a Bahr Forceps

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Scalp

Modified XMHN#1 using 0.20 x 15 mm needles oriented not to fall out Vertical needle at lambdoid suture (-) to 0.20 mm x 30 mm needle 30-45 mm above ear (+) . This stimulates the parts of the brain most concerned with vision

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X15 mm needles, 2 cm lateral to midline, insert down, at lambdoid suture Yamamoto CN:30mm Needles, insert 2 cm behind hairline, 1 cm either side of midline.

XMHN#1,YamamotoCNneedles, visualcortexoverlambdoidsuture

DirectElectricalS(mula(onof Periorbitalarea

Suggested Eye Needle Placement

LR 3 (-) to LR 8 (+), LR 14 (-) to medial supraorbital ridge, Nasal infraorbital ridge (-) to temporal supraorbital ridge (+) temporal infraorbital ridge (-) to Yamamoto CN line (+) Needles arranged such that electric current will flow through the whole retina ­ including the macula

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Allinnotchesinbone.15mmnasalinferiorand30mm elsewhere Supraorbital()medialto(+)lateral Infraorbital:lateraltocontralateral.LR14()tomedial(+)

ENERGY

This is my historic protocol. Going forward I will simplify my protocol by eliminating this part except in those persons suffering excess fatigue. I started it because older persons coming from sea level to Santa Fe's 7000 foot elevation suffered.

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Abandoned Energy Component

SP 4 connected to KI 3 (-) to ST 30 connected to CV 2/4(+), CV 12, 17, tack at PC 6 with return LI 11 (-) to ST 36 (+) This is Chong Mo expanded ­ to add energy to the system, with a French Energetics return that stimulates the immune system. These circuits alone are a very powerful combination to add energy and stimulate immune system in a very large number of clinical situations.

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{KI 3 to SP 4} (-) to {CV 2/4 to ST 30} (+), tack or needle at PC6 LR 3 (-) to LR 9 (+) Return: LI 11 (-) to ST 36 (+)

Precautions

·Periorbital infections MUST BE aggressively treated with antibiotics ·Seizures are a contraindication ·Demented persons do not respond well and cannot validly report

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Helpful Pointers

·Artificial Knees ­ substitute an ankle point (near ST 41) for LR 8 ·Artificial Pacemaker ­ Leave left LR 14 non-electrified. LR 8 (-) to eye (+). LR 3 to near ST 41 ·Anti-coagulation is not a contraindication

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ThankyouforyouraSen(on.

Full Text Posted: www.reverseAMD.com

[email protected]

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